Individual
DR. NANCY THERESA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12791 WORLD PLAZA LN BLDG 89, FORT MYERS, FL 33907-3989
(239) 826-7903
(239) 645-4777
Mailing address
8430 BELLE MEADE DR, FORT MYERS, FL 33908-6009
(239) 826-7903
(239) 645-4777
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74129
BCBS FL
FL
Enumeration date
09/29/2006
Last updated
01/04/2021
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